Monday, 26 October 2015

Clinical Case MCQ of Dysphagia of 6 wks Thiration | PGI MCQs for MD MS Preparations

A 60 yrs old pt presenting with dysphagia of 6 wks thiration with solid foods now can swallow only liquids. Investigations done to diagnose her are-A. CxR. 
B. Ba Swallow. 
C. Endoscopy 
D. USG 
E. CT Scan.



Ans A.  CXR ; (B) Ba- swallow (C) Endoscopy (D) USG ; (E) CT-Scan. 
Progressive dysphagia and weight loss of short duration are initial symptoms in vast majority
of the cases of esophageal carcinoma. Dysphagia initialy for solid foods and gradually progressive to semisolids and liquids suggestive of Ca esophagus. Esophagoscopy is the preferred investigation as it can visualise the tumour and biopsy can be  done for definite diagnosis. 
• Ba-swallow is helpful for diagnosis ;irregular filling defects are seen in oesophagus. 
• Chest CT scan — to detect extent of the tumour to mediastinum and para aortic lymph nodes. 
• A 60 yrs old patient with H/o dysphagia initially to solids & gradually to liquids is a case of Ca esophagus.